Damus kaye stansel and shunt operation the aorta and pulmonary artery are joined using a patch pink. If you are visiting our nonenglish version and want to see the english version of damus kaye stansel, please scroll down to the bottom and you will see the meaning of damus kaye stansel in english language. The clinical outcomes of damus kaye stansel procedure according to surgical technique article pdf available in korean journal of thoracic and cardiovascular surgery 474. This procedure joins the pulmonary artery and the aorta in situations where the systemic circulation is obstructed. The damus kaye stansel dks procedure was created from the stanford technique using bovine pericardium along with a right bidirectional glenn shunt bdg. This is a matter of vital concern, especially in patients whose pulmonary arteries have to work after operations as the major systemic output routes. Apr 15, 20 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. The clinical outcomes of damuskayestansel procedure. The damus kaye stansel dks operation was first described in 1975 independently by 3 authors, damus, 1 kaye, 2 and stansel, 3 and was soon felt to be an effective method to relieve systemic ventricular outflowtract obstruction in patients with ventriculoarterial discordance. Doublebarrel damuskayestansel operation is better than end. The other associated procedures were atrial septectomy in 7 patients, pulmonary angioplasty with bovine pericardium in 3 patients, and neoaortopexy in 1 patient.
Pdf the clinical outcomes of damuskayestansel procedure. In addition, modifications of the damuskayestansel dks procedure are also. Right anterior oblique and left anterior oblique views of the fontan circuit light green. Modified damuskayestansel procedure for single ventricle. Energetic performance index improvement after glenn and damus. A modified damus kaye stansel procedure is one of several options for palliation of single ventricle with subaortic obstruction, but results in neonates have been disappointing. A valved conduit was interposed between the native pulmonary annulus and the ascending aorta to create a modified damus kaye stansel type connection. In fontan candidates, we have recently been aggressively performing the damus kaye stansel procedure dks to prevent increased afterload o we use cookies to enhance your experience on our website. Damus kaye stansel procedure has been performed in 14 neonates and seven infants with single ventricle and subaortic stenosis, including 15 with arch obstruction. Atrial fibrillation ablation without pulmonary vein. By continuing to use our website, you are agreeing to our use of cookies. Modified damuskayestansel procedure using aortic flap. Damus kaye stansel pdf the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Modified damuskayestansel procedure subsequent to pulmonary.
Pulmonary artery banding pab and ventriculoarterial discordance vad were reported to be risk factors of subaortic stenosis in univentricular heart. Echocardiographic evidence of systolic aortic regurgitation following a damus kaye stansel procedure for palliation of complex doubleoutlet right ventricle is presented. Damuskayestansel procedure avoids coronary obstruction. Staged surgical management of anatomically corrected. The damus stansel kaye procedure is an attractive option because it is extracardiac and avoids ventriculotomy, heart block, and the use of a conduit. Effective june 15, 2019 mississippi secretary of state ms. Modified damuskayestansel procedure for single ventricle, subaortic stenosis, and arch obstruction in neonates and infants. Outcome of norwood and damuskayestansel procedures for. Damuskayestansel with cavopulmonary connection for.
The objective of this study was to compare the outcome of the dks procedure according to the surgical technique. Outcome of norwood and damus kaye stansel procedures for univentricular congenital heart anomalies ali a. Damus anastomosis associated with revrastelli procedure. Modification of the damuskayestansel procedure without the.
Management of univentricular heart with systemic ventricular outflow obstruction by pulmonary artery banding and damus kaye stansel. Cardiac magnetic resonance imaging and multidetector computed. After the damus kaye stansel procedure, the kinetic energy would increase owing to the integrated systemic outflow. It is not used for treatment of hypoplastic left heart syndrome which is treated using the norwood procedure. We revealed the efficiency of the glenn and damus kaye stansel procedures using vector flow mapping. A view of the completed anastomosis, also shown is a bidirectional glenn shunt. Pdf damuskayestansel with cavopulmonary connection for. Review echocardiography and outcomes before and after ross procedures, including patients undergoing biventricular conversion with damus kaye stansel dks takedown. Cardiac magnetic resonance imaging and multidetector. Patent ductus arteriosus pda is the failure of the fetal ductus arteriosus to. Conduit interposition from right ventricle to distal pulmonary artery 4.
Jan 21, 2020 after the glenn and damus kaye stansel procedures, we detected an improvement in energetic performance index, indicating that the cardiac workload improved as well. However, there have been few reports on which surgical technique shows a better outcome. Jul 27, 2019 datasheets product datasheet download safety datasheet download. The damuskayestansel dks procedure is a cardiovascular surgical procedure used as. Aortic valve atresia, or severe hypoplasia associated with ventricular septal defect and normalsized ventricles, is an exceptional entity in neonates. We evaluated prophylactic damus kaye stansel dks anastomosis in association with the timing. One patient had mild to moderate pulmonic insufficiency but died late presumably of an arrhythmia. In the presence of arch obstruction, this procedure is typically performed with circulatory arrest, which may contribute to neurologic insult. Atrial septal defect repair atrioventricular canal repair bidirectional glenn shunt procedure blalocktaussig shunt damus kaye stansel procedure a free powerpoint ppt presentation displayed as a flash slide show on id. Doublebarrel damuskayestansel operation is better than. Although the aim of our article 2 was how to avoid the use of prosthetic materials to construct damus kaye stansel anastomosis, they used our article. We performed the damus kaye stansel procedure with some technical modifications to overcome these concerns in 2 children and observed a competent pulmonary valve and a patent damus kaye stansel. A 12lead electrocardiogram of the clinical arrhythmia.
In first stage of the procedure, the aorta and pa were divided at the same level above the sinotubular junction. There must be two distinct and separate semilunar valves before this diagnosis can be made. Damuskayestansel procedure avoids coronary obstruction in. Damus kaye stansel anastomosis yasuhiro fujii 1, shunji sano 1, sadahiko arai 1, shingo kasahara 1, atsushi tateishi 1, masami takagaki 1, yasufumi fujita 1, susumu ozawa 1. A valved conduit was interposed between the native pulmonary annulus and the ascending aorta to create a modified damus kaye stansel. Article information, pdf download for modified damuskayestansel. Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction svoto following volume unloading with cavopulmonary connection cpc. We report the case of a 37yearold female who underwent fontan completion as an adult and subsequently presented with systemic outflow tract obstruction. Both the damus kaye stansel procedure and pulmonary artery banding provide an effective palliative technique in certain subsets of patients, but this combination of procedures is potentially hazardous in pulmonary valve geometry. Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction.
Jun 01, 2006 read modified damuskayestansel procedure using aortic flap technique for systemic ventricular outflow tract obstruction in functionally univentricular heart, european journal of cardiothoracic surgery on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Transposition of the great arteries with valvular and subvalvular aortic stenosis 5. Pdf outcome of norwood and damuskayestansel procedures. Evaluation with cardiovascular mr imaging of baffles and conduits used in palliation or repair of congenital heart disease. Patients with a functionally single ventricle and unrestricted pulmonary blood flow may develop systemic ventricular outflow tract obstruction after volume reduction surgery such as pulmonary artery banding or bidirectional glenn bdg or fontan operations. The damuskayestansel dks operation was first described in 1975 independently by 3 authors, damus, 1 kaye, 2 and stansel, 3 and was soon felt to be an effective method to relieve systemic ventricular outflowtract obstruction in patients with ventriculoarterial discordance. Pa banding is rarely necessary for infants with chf resulting from increased pbf. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. Ppt surgical procedures powerpoint presentation free to. Diagnoses were doubleinlet left ventricle n 12, tricuspid atresia n 2, and other forms of hypoplastic ventricle with. If an internal link intending to refer to a specific person led you to this page, you may wish to change that link by adding the persons given. The damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto.
Doublebarrel damus kaye stansel operation is better than endtoside damus kaye stansel operation for preserving the pulmonary valve function. The damus kaye stansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. Long term complications atrial switch arrhythmias sudden death obstruction of venous return progressive rv dysfunction arterial switch. John stansel taylor, american politician, citrus grower, and businessman damuskayestansel procedure, is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. B, in patient 2, reconstruction of the bivalved systemic outflow after aortic transection was done. The cove point foundation congenital heart resource center is the worlds largest resource for information on pediatric and adult congenital heart disease. Outcomes and shortterm followup in complex ross operations. Atrial septal defect repair atrioventricular canal repair bidirectional glenn shunt procedure blalocktaussig shunt damuskayestansel procedure a free powerpoint ppt presentation displayed as a flash slide show on id. Pdf background the damuskayestansel dks procedure is a method for mitigating the risk of systemic. August 17, 2019 admin travel leave a comment on damus kaye stansel pdf. After the glenn and damus kaye stansel procedures, we detected an improvement in energetic performance index, indicating that the cardiac workload improved as well. Technical modifications hillel laks, md, richard n. The damus kaye stansel connection pulmonary artery to aorta is seen in the left. The damuskayestansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects.
This procedure usually complements other corrective procedures. The damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Mar 15, 2016 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. They reported how to modify the damus kaye stansel procedure to prevent the use of prosthetic materials. Energetic performance index improvement after glenn and. Outcomes of damuskayestansel anastomosis at time of. A, in patient 1, patch reconstruction of the additional lvot was done. Damuskayestansel procedure for left ventricular outflow. Pdf pulmonary artery banding before the damuskayestansel.
Damuskayestansel anastomosis in a patient with tricuspid atresia, transposition of the great. Avsd damus kaye stansel dks pulmonary artery banding 4 coarctation with hypolastic aorctic arch vsdasd outflow tract reconstructionvsd repairasd repair 4 transposition of great arteries tga tga repair 4. Since 1990, a modified damus kaye stansel procedure. Scheme of damus kaye stansel procedure in both patients. A ninemonthold girl diagnosed with anatomically corrected malposition atrioventricular discordance, ventriculoarterial concordance, and malposed great arteries complicated by multiple ventricul. The aim of this study was to evaluate efficacy of damus kaye stansel dks anastomosis. The damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. The objective of this study was to compare the outcome of the dks procedure according to the surgical technique used. Cove point contains comprehensive information on all congenital heart defects, including atrial septal defect asd, ventricular septal defect vsd, hypoplastic left heart syndrome hlhs, and tetralogy of fallot tof. We aim to evaluate the value of damus kaye stansel dks anastomosis at the time of cpc in eliminating late svoto risk. In these patients, the damus kaye stansel procedure dks is a useful approach for the treatment of systemic. We present a series of four neonates over 22 years with d.
Modified damus kaye stansel procedure for single ventricle, subaortic stenosis, and arch obstruction in neonates and infants. Jan 01, 2009 read subaortic obstruction in univentricular heart. Damus kaye stansel procedure, is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. Use of the damuskayestansel procedure prevents increased. A modified damuskayestansel procedure is one of several options for.
Efficacy of damuskayestansel procedure in patients with. Modification of the damuskayestansel procedure request pdf. We conclude that neonatal pulmonary artery banding coupled with planned early debanding, a damus kaye stansel procedure, and cavopulmonary anastomosis is a relatively lowrisk course for patients with this complex physiology. Modified damuskayestansel connection for systemic outflow. List of topics congenital heart disease cove point. Modified approach to the damus stansel kaye procedure. It is commonly used when a patient has the combination of a small left ventricle and a transposition of the great arteries tga. The blue tube is known as a modified blalocktaussig shunt. Color flow mapping and doppler interrogation following the damus kaye stansel procedure. Stansel procedure and right ventricle to pulmonary artery conduit. We read with great interest the article by park and colleagues 1. Clinical outcomes of prophylactic damus kaye stansel anastomosis concomitant with bidirectional glenn procedure masatoshi shimada, md,a takaya hoashi, md,a koji kagisaki, md,a isao shiraishi, md,b toshikatsu yagihara, md,a and hajime ichikawa, mda objective.
Damuskayestansel anastomosis in a patient with tricuspid atresia. It was originally developed along with the rastelli procedure. A, in patient i, patch reconstruction of the additional lvot was done. Aortic valve atresia or severe hypoplasia and ventricular. They referred to our article 2 as reference 5 in their article 1. Since then, the procedure has been applied to patients with several forms of complex congenital heart disease in. Reprinted with permission from the society of thoracic surgeons ann thorac surg 1992. Ppt surgical procedures powerpoint presentation free. Thirtynine patients underwent pulmonary artery banding before the damuskayestansel operation. The damus kaye stansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. In addition, modifications of the damus kayestansel dks procedure are also.
A proposed operation for transposition of the great vessels. Main pulmonary artery to ascending aorta endtoside anastomosis 2. Aorta appears in pink, atretic right ventricle in red, systemic and morphologically left ventricle in dark blue, and left atrium in light blue. Clinical outcomes of prophylactic damuskayestansel.
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